| Doctor Name: | DR. PAKORN SIRIJINTAKARN |
| NPI Number: | 1588643449 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 2361 Paysphere Circle Chicago, IL - 60674 |
| Business Phone Number: | 8477464358 |
| Business Fax Number: | |
| Mailing Address: | 2520 Elisha Avenue, ZION |
| State: | IL |
| Postal Code: | 60099 |
| Phone Number: | 8478726259 |
| Fax Number: | 8478725716 |
| NPI Enumeration Date: | 01/10/2006 |
| NPI Last Update Date: | 03/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |